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279 pages, Hardcover
First published January 1, 1969
The style in general is poetic and snarky. The fourteen-year-old protagonist seems precocious, if not obnoxious, observing everything with cynicism instead of wonder. The novel has no plot but is written episodically, as Tim wanders around, occasionally making himself useful by cafeteria work and being shuffled from one ward to the next. He develops an unrequited interest in one of the girls, who is vaguely portrayed. The only sympathetic character is the leader of a gang in the adult psycho ward, who takes pity of Tim and takes him under his wing.
The author apparently wrote from personal experience. The rampant neglect is shocking, as well as the paucity of regular doctors or professionals. Yet, sadly, the patients, all of whom are creepy or repulsive, seem to bring about their own self-destruction, which raises the issue of nature vs. nurture. Blaming society for disturbance has become fashionable, but to what extent is an individual, particularly a legal minor, held accountable? There are glimpses of Tim's childhood -- abuse and scorn from family members -- that hint at a learning disability and genetic predisposition. Clearly Tim had exhibited mental health issues long beforehand -- e.g., tormenting a young girl -- and over the years his illness apparently deepened. But given its constant recurrence, there is no real hope for redemption here.
While in the sanitarium, Tim comes across as maladjusted, possibly with a personality disorder rather than psychosis, although he experiences a breakdown following the death of a roommate. There is no happy ending, no magical "cure." Tim gains neither insight nor empathy; instead of improved, he becomes hardened and resentful of authority -- befriending a psychopath and behaving cruelly toward a shy and sensitive younger boy. The novel ends with ambiguity: Tim, considered well enough to be released and placed into the custody of relatives, disses them on the ride home; the aunt, seated in the front, glares at him with loathing. Hence, the tragedy is reinforced: children like him cause rejection by creating it. What's in store? Probably another institution or foster home.
This book is well crafted, although dated, given our greater understanding of mental illness, treatments, and improved social services. But while absorbing, it is hardly satisfying.